The San Francisco Health Plan is the third-party administrator (TPA) for the SF City Option program on behalf of the San Francisco Department of Public Health (DPH). The SF City Option is one option for employers to satisfy the Employer Spending Requirement of the San Francisco Health Care Security Ordinance (HCSO).

An Employer participating in the SF City Option Program deposits money on behalf of their Employees. Each Employer’s payment is applied towards one of two programs for each employee.

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